Precisely planned oral surgery with attentive support
We assess every procedure individually to perform it safely, explain each step and support the most comfortable recovery possible.
Oral surgery includes procedures involving teeth, gums and jawbones. It may be needed to remove a tooth, treat persistent infection, prepare for implants or address other oral conditions.
Before surgery, we review general health, medication, imaging and relationships with important anatomical structures. We explain the procedure, alternatives, risks and aftercare.
Oral surgery treatments
Wisdom tooth removal
Wisdom teeth may need removal for pain, recurrent infections, decay, damage to a neighbouring tooth or lack of space, among other reasons. Not all wisdom teeth should be removed: their position and the risks of retaining them are assessed first.
Complex extractions
Include fractured teeth, retained roots, severely damaged or impacted teeth. The technique is adapted to the anatomy, aiming to preserve nearby tissues.
Frenectomy
Corrects a lip or tongue frenulum when its attachment restricts function or interferes with other treatment. Assessment may require coordination with orthodontics, children’s dentistry, speech therapy or other professionals.
Apical surgery
When infection persists around a root tip after root canal treatment and conventional retreatment cannot resolve it, apical surgery may be considered. The lesion is accessed and the root end treated and sealed when indicated.
Pre-implant surgery
If available bone is inadequate for implant placement, regeneration, grafting, expansion or a sinus lift may be needed. The choice depends on the defect and prosthetic plan.
Biopsy and lesion treatment
Some mucosal or bone lesions require sampling or removal for analysis. Persistent lesions must be assessed and, when appropriate, sent to a pathology laboratory.
Assessing wisdom tooth removal
- Position and degree of impaction.
- Relationship with the inferior alveolar nerve or maxillary sinus.
- Condition of the neighbouring tooth.
- Infection, decay, cysts or other lesions.
- Age, general health and medication.
- Expected benefit compared with procedural risks.
What does treatment involve?
- Initial assessment. We review the reason for consultation, medical history, medication and clinical situation.
- Imaging. We take or review radiographs and, when indicated, a 3D CT scan to plan surgery.
- Treatment plan. We explain alternatives, risks, preparation, anaesthesia or sedation and costs.
- Procedure. We operate under local anaesthesia with the measures agreed for the case.
- Postoperative instructions. We provide guidance on hygiene, diet, medication, activity and warning signs.
- Review. We monitor healing and remove sutures when necessary.
Conscious sedation
For severe anxiety or long procedures, conscious sedation administered and supervised by a medical anaesthetist may be considered. The patient is monitored and breathes independently while deeply relaxed.
- Requires prior assessment and compliance with fasting and medication instructions.
- Patients must arrive and leave accompanied.
- Afterwards, patients must not drive, operate machinery or make important decisions.
- Does not replace local anaesthesia in the treated area.
- Is not suitable for every person or procedure.
Care after oral surgery
- Follow the medication and instructions provided.
- Apply external cold if advised, without direct skin contact.
- Avoid tobacco, alcohol and strenuous exercise for the recommended period.
- Follow an appropriate diet and do not disturb the wound.
- Clean as instructed.
- Attend the scheduled review.
When to contact the clinic
Seek advice for bleeding that continues despite the recommended measures, difficulty breathing or swallowing, fever, clearly worsening swelling, a medication reaction or uncontrolled severe pain.
Technology and surgical techniques
Planning may use digital radiography, 3D CT, intraoral scanning and surgical guides when indicated. Some procedures may benefit from ultrasonic instruments or laser, according to the operation and available equipment.
Technology assists planning and treatment but does not eliminate surgical risks.